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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medication for maxillary sinusitis

Sir I am 21 years old and had breathing problems due to cold attack for the first time 6 months ago. The DOC gave me kitotifen & montelukast Along with some other anti allergic tablets and i got cured but I foolishly didn t continue with the montelukast that was priscribed to me. NOW over the last 1 week I am again suffering from asthamic problems and test showed that I have bilateral maxillary sinusitis. A new DOC priscribed me salmeteral/fluticasone along with montelukast and triamcenolone acetonide and clonazepam(.5mg once daily). NOW i have problems with the priscribed clonazepam & salmeteral drugs since i never used inhalers before & clonazepam is for seizures which I donot have. Can you please help me and advice me what should I do.Thanks
Thu, 1 Apr 2021
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General Surgeon 's  Response
Hi,

Bilateral maxillary sinusitis with asthmatic symptoms usually are due to allergy hence the suggested treatment an be as follows, strictly to be continued under medical supervision, proper investigations and regular follow up.
* Get the blood tests done for CBC IgE for allergy, blood sugar and HbA1c to rule out diabetes
* Get the CT scan of sinuses and X-ray or CT scan of chest also as you have asthma like symptoms to rule out any other problems with lungs
* Pulmonary function tests

The mainstay of the treatment is as per the cause found are:
* Oral steroids gives the best results
* Topical steroids in the form of nasal spray
* Antihistamine like Montelukast till required and then as and when required

Good long courses and regular follow up, CT scan review is required. If medical management fails then surgery may be required after fitness.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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Suggest medication for maxillary sinusitis

Hi, Bilateral maxillary sinusitis with asthmatic symptoms usually are due to allergy hence the suggested treatment an be as follows, strictly to be continued under medical supervision, proper investigations and regular follow up. * Get the blood tests done for CBC IgE for allergy, blood sugar and HbA1c to rule out diabetes * Get the CT scan of sinuses and X-ray or CT scan of chest also as you have asthma like symptoms to rule out any other problems with lungs * Pulmonary function tests The mainstay of the treatment is as per the cause found are: * Oral steroids gives the best results * Topical steroids in the form of nasal spray * Antihistamine like Montelukast till required and then as and when required Good long courses and regular follow up, CT scan review is required. If medical management fails then surgery may be required after fitness. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon